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General NPI Number Information
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NPI Number | 1043200082
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Entity Type | Individual
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Provider Name | WENDY KATHLEEN STEVENS MD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3246 HENDERSON RD
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City | COLUMBUS
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State | OH
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Zip | 43220-7323
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Country | US
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Telephone | 614-706-1271
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Fax | 614-584-8083
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Provider Business Mailing Address
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Address Line | 1021 COUNTRY CLUB RD UNIT A
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City | COLUMBUS
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State | OH
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Zip | 43213-2484
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Country | US
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Telephone | 614-706-1271
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Fax | 614-594-8083
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.077039
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License Number State | OH
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